SDG 3 and financing instruments in Austria and Ukraine: Challenges and perspectives
-
DOIhttp://dx.doi.org/10.21511/ppm.19(3).2021.11
-
Article InfoVolume 19 2021, Issue #3, pp. 118-135
- Cited by
- 1214 Views
-
300 Downloads
This work is licensed under a
Creative Commons Attribution 4.0 International License
This study aims to conduct a comparative analysis of the SDG in healthcare achievement in Austria and Ukraine and to determine possible lessons for Ukraine based on best EU and world experiences. To identify existing challenges and perspectives a comparative analysis of key indicators of healthcare expenditures and health financing systems in Austria and Ukraine was carried out. Results indicate that in Ukraine there is a substantial lack of public funding for healthcare (only 682 US dollars per capita in 2018), a poor share of voluntary health insurance (less than 1%), significant amounts (on average 50%) of expenditures of the population in general spending on health. On the contrary, in Austria, there is sufficient public funding for healthcare (5,879 US dollars per capita in 2018), more than 5% share of voluntary health insurance, moderate amounts (on average 25%) of expenditures of the population in general spending on health. Austria’s experience as an EU-member country with a successful example of a financing strategy for the healthcare system is a sound example for Ukraine. The alternative financing tools (e.g. result-based financing, impact investment, public-private partnership) can be used as an additional financing mechanism of healthcare funding in Ukraine. The use of these instruments along with the improvement of the fiscal policy, social security, and governance based on Austrian experience can cut the existing financing gap to achieve SDG targets in healthcare in Ukraine.
Acknowledgment
This study is financed equally by the Austrian Federal Ministry of Education and Science and the Ministry of Education and Science of Ukraine.
- Keywords
-
JEL Classification (Paper profile tab)G18, I18, Q01
-
References67
-
Tables7
-
Figures2
-
- Figure 1. No. of publications in the Scopus database under the research area «healthcare funding» for 2016–2020
- Figure 2. No. of publications in the Scopus database under the research area «SDG 3 funding» for 2016–2020
-
- Table 1. Estimated additional spending per year on health required by 2030 to achieve progress within the SDG 3 health targets
- Table 2. The assessment of progress in achieving the targets of SDGs 3 in Ukraine and Austria according to national monitoring 2019
- Table 3. The assessment of progress in achieving targets of SDGs 3 in Ukraine and Austria according to global monitoring in 2017–2020
- Table 4. The assessment of life expectancy in Ukraine and Austria in 2019
- Table 5. Key indicators of healthcare expenditures in Ukraine and Austria in 2018
- Table 6. Prioritization of financing tools in healthcare according to the number of publications in the Scopus database as of 10.07.2021
- Table A1. Correspondence of global and national SDG 3 targets in Austria and Ukraine
-
- Abeykoon, P. (2021). Partnerships in health development. Journal of Health Management, 23(1), 143-154.
- Bachner, F., Bobek, J., Habimana, K., Ladurner, J., Lepuschütz, L., Ostermann, H., Rainer, L., Schmidt, A. E., Zuba, M., Quentin, W., & Winkelmann, J. (2018). Austria: Health system review. Health Systems in Transition, 20(3).
- Bali, S., & Taaffe, J. (2017). The Sustainable Development Goals and the Global Health Security Agenda: Exploring synergies for a sustainable and resilient world. Journal of Public Health Policy, 38(2), 257-268.
- Bennett, S., Jessani, N., Glandon, D., Qiu, M., Scott, K., Meghani, A., El-Jardali, F., Maceira, D., Javadi, D., & Ghaffar, A. (2020). Understanding the implications of the sustainable development goals for health policy and systems research: Results of a research priority setting exercise. Globalization and Health, 16(1), 5.
- Bhutta, Z. A., Siddiqi, S., Aftab, W., Siddiqui, F. J., Huicho, L., Mogilevskii, R., Mahmood, Q., Friberg, P., & Akbari, F. (2020). What will it take to implement health and health-related sustainable development goals? British Medical Journal Global Health, 5(9), e002963.
- Brin, P., & Nehme, M. (2021). Sustainable development in emerging economy: Using the analytical hierarchy process for corporate social responsibility decision making. Journal of Information Technology Management, 159-174.
- Brolan, C. E., & Hill, P. S. (2015). Countdown for health to the post-2015 UN Sustainable Development Goals. The Medical Journal of Australia, 202(6), 289-291.
- Bundeskanzleramt. (2020). Österreich und die Agenda 2030: Freiwilliger Nationaler Bericht zur Umsetzung der Nachhaltigen Entwicklungsziele/SDGs (FNU). (In German).
- Bundesministerium Finanzen. (2021). Bundesfinanzgesetz 2021. (In German).
- Bundesministerium für Soziales, Gesundheit, Pflege und Konsumentenschutz. (2021). Finanzierung des öffentlichen Gesundheitswesens. (In German).
- Buse, K., & Hawkes, S. (2015). Health in the sustainable development goals: Ready for a paradigm shirt? Globalization and Health, 11(1), 13.
- Carè, R., & De Lisa, R. (2019). Social Impact Bonds for a Sustainable Welfare State: The Role of Enabling Factors. Sustainability, 11(10), 2884.
- Cerf, M. E. (2019). Sustainable development goal integration, interdependence, and implementation: The environment-economic-health nexus and universal health coverage. Global Challenges, 3(9), 1900021.
- Chancel, L., Hough, A., & Voituriez, T. (2018). Reducing inequalities within countries: Assessing the potential of the sustainable development goals. Global Policy, 9(1), 5-16.
- Christ, K. L., & Burritt, R. L. (2019). Implementation of sustainable development goals: The role for business academics. Australian Journal of Management, 44(4), 571-593.
- Development Initiatives. (2020). The cost achieving SDG 3 and SDG 4: How complete are financing estimates for the health and education goals?
- Di Ruggiero, E. (2019). Health promotion in the sustainable development goal era. Global Health Promotion, 26(3), 3-4.
- Diaz-Sarachaga, J. M., Jato-Espino, D., & Castro-Fresno, D. (2018). Is the sustainable development goals (SDG) index an adequate framework to measure the progress of the 2030 agenda? Sustainable Development, 26(6), 663-671.
- Dieleman, J. L., Sadat, N., Chang, A. Y., Fullman, N., Abbafati, C., Acharya, P., Adou, A. K., Kiadaliri, A. A., Alam, K., Alizadeh-Navaei, R., Alkerwi, A., Ammar, W., Antonio, C. A. T., Olatunde Aremu, Asgedom, S. W., Atey, T. M., Avila-Burgos, L., Ayer, R., Badali, H., … Murray, C. J. (2018). Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–40. The Lancet, 391(10132), 1783-1798.
- Doumbia, D., & Lauridsen, M. L. (2019). Closing the SDG financing gap: Trends and data. EMCompass, 73, 1-8.
- Fryatt, R., Bennett, S., & Soucat, A. (2017). Health sector governance: Should we be investing more? British Medical Journal Global Health, 2(2).
- Griebler, R., Antony, G., Antosik, J., & Delcour, J. (2010). Metaanalyse der Herausforderungen in der Umsetzung der Sustainable Development Goals in österreich – Fokus Gesundheitsbereich. Vienna: Gesundheit Österreich. (In German).
- Grynko, T., Shevchenko, T., Pavlov, R., Shevchenko, V., & Pawliszczy, D. (2020). The impact of collaboration strategy in the field of innovation on the effectiveness of organizational structure of healthcare institutions. Knowledge and Performance Management, 4(1), 37-51.
- Guégan, J.-F., Suzán, G., Kati-Coulibaly, S., Bonpamgue, D. N., & Moatti, J.-P. (2018). Sustainable development goal #3, “health and well-being”, and the need for more integrative thinking. Veterinaria México OA, 5(2).
- Horokhovets, Ye., Zhalilo, Ya., Kovalivska, S., Maksiuta, A., Nikolaiev, V., Marushevskyi, H., Onufryk, M., Prokip, A., Yakovenko, I., & Maksiuta, A. (Ed.). (2017). Analysis of state strategic documents of Ukraine to take into account the Sustainable Development Goals for 2030 adapted for Ukraine. Institute of Socio-Economic Research. (In Ukrainian).
- International Bank for Reconstruction and Development & The World Bank. (2019). High-performance health financing universal health coverage. Washington, DC: World Bank Publications.
- Jamison, D. T., Alwan, A., Mock, C. N., Nugent, R., Watkins, D., Adeyi, O., Anand, S., Atun, R., Bertozzi, S., Bhutta, Z., Binagwaho, A., Black, R., Blecher, M., Bloom, B. R., Brouwer, E., Bundy, D., Chisholm, D., Cieza, A., Cullen, M., … Zhao, K. (2018). Universal health coverage and intersectoral action for health: key messages from disease control priorities. The Lancet, 391(10125), 1108-1120.
- Koilo, V. (2020). A methodology to analyze sustainable development index: evidence from emerging markets and developed economies. Environmental Economics, 11(1), 14-29.
- Le Blanc, D. (2015). Towards integration at last? The sustainable development goals as a network of targets. Sustainable Development, 23(3), 176-187.
- Lee, J., & Kim, B. (2021). Social impacts of the continuous usage of digital healthcare service: A case of South Korea. Innovative Marketing, 17(2), 79-89.
- Malyovanyi, M., Prokopchuk, O., Lysa, N., Chernega, I., & Malyovana, M. (2019). Evaluation of financing the health care system in Ukraine. Proceedings of the 33rd International Business Information Management Association Conference, IBIMA 2019: Education Excellence and Innovation Management through Vision 2020, 957-968.
- Melnyk, L. G, Shkarupa, E. V, & Kharchenko, M. O. (2013). Innovative strategies to increase economic efficiency of greening the economy. Middle East Journal of Scientific Research, 16(1), 30-37.
- Melnyk, L., Dehtyarova, I., Kubatko, O., Karintseva, O., & Derykolenko, A. (2019). Disruptive technologies for the transition of digital economies towards sustainability. Economic Annals-XXI, 179(9), 22-30.
- Ministry of Economic Development, Trade and Agriculture of Ukraine, State Statistics Service of Ukraine, & UNICEF in Ukraine. (2020). Sustainable Development Goals Ukraine 2019: Monitoring report.
- Ministry of Healthcare of Ukraine. (2018). Guidelines for state and municipal health care facilities, for employees of health authorities, for project implementation in public-private partnership in the field of health care. (In Ukrainian).
- Nabukalu, J. B., Asamani, J. A., & Nabyonga-Orem, J. (2020). Monitoring sustainable development goals 3: Assessing the readiness of low- and middle-income countries. International Journal of Health Policy and Management, 9(7), 297-308.
- National Health Service of Ukraine. (2020). National health service of Ukraine: Annual report 2020.
- Nunes, A. R., Lee, K., & O´Riordan, T. (2016). The importance of an integrating framework for achieving the sustainable development goals: The example of health and well-being. British Medical Journal Global Health, 1(3).
- Organisation for Economic Co-operation and Development. (n.d.). Policy coherence for sustainable development country profiles: Austria.
- Plastun, A., Makarenko, I., Grabovska, T., Situmeang, R., & Bashlai, S. (2021). Sustainable Development Goals in agriculture and responsible investment: A comparative study of the Czech Republic and Ukraine. Problems and Perspectives in Management, 19(2), 65-76.
- Popova, T., Iskiv, M., Zagurska-Antoniuk, V., Buryk, Z., Matsyk, V., & Terentieva, N. (2020). The application of public-private partnership for the purpose of implementing state policy in the sphere of health care. International Journal of Economics and Business Administration, 8(3), 128-138.
- Sachs, J., Schmidt-Traub, G., Kroll, C., Durand-Delacre, D. & Teksoz, K. (2017). SDG index and dashboards report 2017: Global responsibilities – international spillovers in achieving the goals. New York: Bertelsmann Stiftung and Sustainable Development Solutions Network (SDSN).
- Sachs, J., Schmidt-Traub, G., Kroll, C., Lafortune, G., & Fuller, G. (2019). Sustainable development report 2019: Transformation to achieve the sustainable development goals. New York: Bertelsmann Stiftung and Sustainable Development Solutions Network (SDSN).
- Sachs, J., Schmidt-Traub, G., Kroll, C., Lafortune, G., & Fuller, G. (2018). SDG index and dashboards report 2018: Global responsibilities, implementing the goals. New York: Bertelsmann Stiftung and Sustainable Development Solutions Network (SDSN).
- Sachs, J., Schmidt-Traub, G., Kroll, C., Lafortune, G., Fuller, G., & Woelm, F. (2020). Sustainable development report 2020: The sustainable development goals and Covid-19. Cambridge: Cambridge University Press.
- Schmidt-Traub, G., & Shah, A. (2015). Investment needs to achieve the sustainable development goals. Paris and New York: Sustainable Development Solutions Network.
- Schwab, K. (2019). The global competitiveness report 2019. World Economic Forum.
- Sein, T. (2021). Generating financial resources for health. Journal of Health Management, 23(1), 47-53.
- Shroff, Z. C., Tran, N., Meessen, B., Bigdeli, M., & Ghaffar, A. (2017). Taking results-based financing from scheme to system. Health Systems & Reform, 3(2), 69-73.
- Siddiqi, S., Aftab, W., Siddiqui, F. J., Huicho, L., Mogilevskii, R., Friberg, P., Lindgren-Garcia, J., Causevic, S., Khamis, A., Shah, M. M., & Bhutta, Z. A. (2020). Global strategies and local implementation of health and health-related SDGs: Lessons from consultation in countries across five regions. British Medical Journal Global Health, 5(9), 1-9.
- Statistik Austria. (2020a). Ziel 03 – Gesundheit und Wohlergehen – Indikatoren. (In German).
- Statistik Austria. (2020b). Agenda 2030 für nachhaltige Entwicklung in Österreich – SDG-Indikatorbericht. (In German).
- Statistik Austria. (2021). Österreichs Steuereinnahmen berechnet nach dem Europäischen System der Volkswirtschaftlichen Gesamtrechnungen (ESVG 2010). (In German).
- Stenberg, K., Hanssen, O., Edejer, T. T. T., Bertram, M., Brindley, C., Meshreky, A., Rosen, J. E., Stover, J., Verboom, P., Sanders, R., & Soucat, A. (2017). Financing transformative health systems towards achievement of the health Sustainable Development Goals: A model for projected resource needs in 67 low-income and middle-income countries. The Lancet Global Health, 5(9), e875-e887.
- Tamsma, N., & Costongs, C. (2018). Promoting health and well-being in the context of the United Nations Sustainable Development agenda. Scandinavian Journal of Public Health, 46(1), 44-48.
- Theurl, E. (2019). Health expenditure and cost control in Austria. In Health Care and Cost Containment in the European Union (pp. 605-633). Routledge.
- United Nations Development Programme (UNDP). (2020). Goal 3: Good health and well-being.
- United Nations. (2016). Report of the inter-agency and expert group on sustainable development goal indicators: Note by the Secretary-General.
- United Nations. (2020). Austria´s voluntary national review – main messages.
- U.S. Agency for International Development. (2021). Investing for Impact Report.
- Wagstaff, A., Flores, G., Hsu, J., Smitz, M. F., Chepynoga, K., Buisman, L. R., van Wilgenburg, K., & Eozenou, P. (2018). Progress on catastrophic health spending in 133 countries: a retrospective observational study. The Lancet Global Health, 6(2), e169-e179.
- Wang, N., & Ma, M. (2020). Public-private partnership as a tool for sustainable development – What literatures say? Sustainable Development, 29(3), 243-258.
- Wirtschaftskammer Österreich. (2020). Laufende Gesundheitsausgaben 2019. (In German).
- World Health Organization & The World Bank. (2019). Ukraine review of health financing reforms 2016–2019.
- World Health Organization. (2020a). Budgetary space for the health care system in Ukraine.
- World Health Organization. (2020b). World health statistics 2020: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization.
- Yelnikova, J., & Kwilinski, A. (2020). Impact-Investing in The Healthcare in Terms of the New Socially Responsible State Investment Policy. Business Ethics and Leadership, 4(3), 57-64.